MEDICARE: CYNTHIA NELLY FUE R.N

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	379639	OH

General Provider Information

NPI Number	:	1154679843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA NELLY FUE R.N

Provider Business Mailing Address
First Line	:	6138 CENTRAL PARK DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-1641
Country	:	US
Telephone Number	:	614-901-8764
Fax Number	:

Provider Business Practice Location Address
First Line	:	6138 CENTRAL PARK DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-1641
Country	:	US
Telephone Number	:	614-901-8764
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2012
Last Update Date	:	08/28/2012

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